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甲状腺囊实性结节良恶性鉴别中超声分组系统的应用

汤靖岚 侯春杰 范小明

浙江医学Issue(18):1518-1520,3.
浙江医学Issue(18):1518-1520,3.

甲状腺囊实性结节良恶性鉴别中超声分组系统的应用

Ultrasonographic classification system in differential diagnosis of partially cystic thyroid nodules

汤靖岚 1侯春杰 1范小明1

作者信息

  • 1. 310014 杭州,浙江省人民医院超声科
  • 折叠

摘要

Abstract

Objective To evaluate a new ultrasonographic (US) classification system in differential diagnosis of partial y cystic thyroid nodules (PCTN). Methods Three hundred and thirty six consecutive patients with 467 PCTNs underwent ultra-sonographic examinations and received surgical treatment. The thyroid nodules were preoperatively classified into 4 diagnostic categories by real- time US:"malignant","suspicious for malignancy","probably benign"and"benign". With pathological diagnosis as the gold standard the diagnostic accuracy of prospective sonographic diagnosis was evaluated. Results The PCTNs were sonographical y classified as malignant in 20 lesions, suspected malignancy in 16 lesions, probably benign in 34 lesions and be-nign in 397 lesions. When malignant and suspected malignant were grouped as "malignant" and probably benign and benign were grouped as"benign", the sensitivity, specificity, positive and negative predictive values, and accuracy of sonographic diag-nosis for malignant PCTNs were 81.25%, 97.70%, 72.22%, 98.61%, 96.57%, respectively. Conclusion The results of prospective ultrasonography is reasonably reliable for differential diagnosis of partial y systic thyroid nodules.

关键词

甲状腺囊实性结节/超声分组系统/鉴别诊断

Key words

Partial y cystic thyroid nodules/Ultrasonographic classification system/Differential diagnosis

引用本文复制引用

汤靖岚,侯春杰,范小明..甲状腺囊实性结节良恶性鉴别中超声分组系统的应用[J].浙江医学,2014,(18):1518-1520,3.

基金项目

浙江省卫生厅医药卫生一般研究计划A类 ()

浙江医学

OACSTPCD

1006-2785

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